PHARMACY PROVIDERS, PLEASE
NOTE!!!
If you are unsure about the coverage
of a drug product, please contact the PBM help desk at 1-800-648-0790.
Please file adjustments for claims
that may have been incorrectly paid. Only those products of the manufacturers
which participate in the Federal Rebate Program will be covered by the Medicaid
program. Participation may be verified in Appendix C, available at
http://www.lamedicaid.com.
Should you have any questions
regarding any of the following messages, please contact Molina Medicaid
Solutions at (800) 473-2783 or (225) 924-5040.
Attention Fee for Service (FFS) Louisiana Medicaid Providers:
Effective July 12, 2016, the Fee for Service (FFS) Louisiana Medicaid Pharmacy Program has established clinical pre-authorization criteria for sofosbuvir/velpatasvir (Epclusa®). Please refer to http://www.lamedicaid.com/provweb1/Pharmacy/pharmacyindex.htm for more information.
Attention Fee for Service (FFS) Louisiana Medicaid Providers:
Effective July 29, 2016, Fee for Service pharmacy claims for sofosbuvir/velpatasvir (Epclusa®) will have edits at Point of Sale (POS) similar to the other Hepatitis C direct acting antiviral agents. Please refer to http://www.lamedicaid.com for specifics.